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Legacy Health
St Helens, Oregon

Integrated Behavioral Health Clincian - Primary Care

CounselorFull-Time

Listed compensation

$43.11-$64.22/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 19m ago · Verified live

Job Description

As a Behavioral Health Clinician (BHC), you will serve as an integral member of the primary care team, working in a consultative and collaborative role to improve the overall health and well-being of patients. You will help address a broad spectrum of behavioral health needs by providing early identification, assessment, triage, and evidence-based, problem-focused interventions for patients experiencing behavioral, emotional, psychological, and social concerns related to both physical and mental health conditions.

In this role, you will meet with patients individually to conduct comprehensive assessments, develop recommendations that enhance the patient's care plan, and collaborate closely with primary care providers to ensure coordinated, patient-centered care.

When appropriate, you will provide follow-up treatment through skills training, coaching, and evidence-based interventions designed to improve patients' health, functioning, and overall wellness.

You will also play a key role in supporting patients who require services beyond those available within the clinic by facilitating smooth transitions to community-based behavioral health resources.

If this sounds like you, we invite you to apply and become part of a collaborative team dedicated to improving the health and well-being of our patients and communities.

Why Choose Legacy Health?

At Legacy, we invest in our people by providing a supportive environment, advanced technology, and a comprehensive benefits package designed to help you thrive both professionally and personally.

Highlights Include

  • Relocation assistance for qualified candidates relocating from outside the area
  • Comprehensive medical, dental, and vision coverage
  • Competitive Annual Paid Leave (APL), including 40 hours front-loaded at hire
  • Free employee parking
  • Retirement plan with employer matching and contributions
  • Employer-paid life insurance
  • Employee Assistance Program (EAP)
  • Flexible Spending Accounts (FSAs)
  • Employee discounts with AT&T/FirstNet, LA Fitness, Kindercare, Nike, Adidas and more
  • Additional wellness, financial, and professional development benefits

Responsibilities

This position requires advanced level skill in delivering evidence-based interventions targeted to improve overall health for patients with a variety of emotional and behavioral problems.

The work includes the BHC meeting with patients individually for an assessment and then providing recommendations to the primary care team to enhance the patient's care plan.

When indicated, the BHC may also work with patients for several subsequent sessions to provide on-going skills training and coaching to improve health and functioning.

The BHC also supports helping patients, who require services not provided in the LMG clinic, to make a smooth transition to care with community partners.

Qualifications

Education:

Master of Social Work, Master in Professional Counseling, Master of Family Therapy degree from a nationally accredited institution, fulfilling the requirements for licensure in the state of Oregon and/or Washington.

Experience

Minimum of two years of clinical experience or healthcare related field.

Skills

Ability to diagnose common mental health problems. Able to conduct solution focused interventions. Modalities including ACT, CBT, CBT-I, and psychodynamic psychotherapy are all applicable.

  • Recognizes and advocates for patients regarding behavioral health strategies/interventions.
  • Promotes health behavior change through evaluation, brief intervention and education.

Works with multidisciplinary team to help support the patient’s health. Coordinates with LMG providers and community partners to refer for appropriate mental health therapy.

Demonstrates competencies in assessment of emotional, cognitive and behavioral disorders in child, adolescent, adult and/or geriatric patients (depending upon population served by specific position).

Demonstrates competency in assessment of cognitive and psychological problems associated with, and/or exacerbating medical conditions.

  • Experience with working with an interdisciplinary team.
  • Skilled in case conceptualization and consultation.
  • Flexibility and willingness to work at the fast pace of primary care.

Licensure

  • Licensed in one of the following within applicable state:
  • Clinical Social Worker (LCSW)
  • Licensed Independent Clinical Social Worker (LICSW)
  • Licensed Professional Counselor (LPC)
  • Licensed Mental Health Counselor (LMHC)
  • Licensed Marriage and Family Therapist (LMFT)

Connect with us: Have questions or need more information? Reach out to our recruiter, Katie Martin at khancock@lhs.org, to start a conversation about your future with Legacy Health.

Pay Range

USD $43.11 - USD $64.22 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: legacyhealth.org

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Behavioral health assessmentClinical interventionPrimary care collaborationEvidence-based practicePatient triageInterdisciplinary team collaborationMental health diagnosisSolution-focused interventionCare coordination

Primary Care — Counselor Career Context

Of the 50 active Primary Care listings this role was benchmarked against, 74% are remote, 16% have no call, 60% require no weekends.

The cost-of-living index for Oregon is 103.4 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$112k midpoint carries the purchasing power of roughly $108k in an average-cost state. 62.0% of Oregon clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 23 employers

16
<$100k
12
$100k-120k
4
$120k-140k
3
$140k-160k
1
$197k

Annual compensation range

Benefits & Perks32 jobs · 23 employers

401k / retirement match
91% this job
Sign-on bonus
66%
CME allowance
41%
Loan repayment
16%
PSLF eligible
13%

Share of similar jobs offering each benefit

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#2

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#3

Licensed Mental Health Therapist

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#4

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+ 34 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 20% of Counseling listings

Listing-based score, 0–10, across 13,776 comparable listings. Shaded area = the share scoring below this one.

Living in St. Helens

Typical 3-bedroom home value
$418k
Typical market rent
$1,660/mo
Residents’ average commute
30 min
Metro price indexU.S. average = 100
105.4
State income tax
Up to 9.9%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Legacy Health logo

About Legacy Health

Hospitals and Health Care
Portland, OR
5,001-10,000 employees

Benefits & Perks

Relocation assistance for qualified candidates
Comprehensive medical, dental, and vision coverage
Competitive Annual Paid Leave (APL), including 40 hours front-loaded at hire
Free employee parking
Retirement plan with employer matching and contributions
Employer-paid life insurance
Employee Assistance Program (EAP)
Flexible Spending Accounts (FSAs)